ECCO Topical Review: Roadmap to Optimal Peri-Operative Care in IBD

Shaji Sebastian, Jonathan P Segal, Charlotte Hedin, Gianluca Pellino, Paulo Gustavo Kotze, Michel Adamina, Marjo Campmans-Kuijpers, Justin Davies, Annemarie C de Vries, Ana Gutiérrez Casbas, Alaa El-Hussuna, Pascal Juillerat, Susanna Meade, Monica Millán, Antonino Spinelli

Research output: Contribution to journalArticleResearchpeer-review


Background and aims: Despite the advances in medical therapies, a significant proportion of patients with inflammatory bowel diseases [IBD]
require surgical intervention. This Topical Review aims to offer expert consensus practice recommendations for peri-operative care to optimize
outcomes of IBD patients who undergo surgery.
Methods: A multidisciplinary panel of IBD healthcare providers systematically reviewed aspects relevant to peri-operative care in IBD. Consensus
statements were developed using Delphi methodology.
Results: A total of 20 current practice positions were developed following systematic review of the current literature covering use of medication
in the peri-operative period, nutritional assessment and intervention, physical and psychological rehabilitation and prehabilitation, and immediate
postoperative care.
Conclusion: Peri-operative planning and optimization of the patient are imperative to ensure favourable outcomes and reduced morbidity. This
Topical Review provides practice recommendations applicable in the peri-operative period in IBD patients undergoing surgery
Original languageEnglish
Number of pages17
JournalJournal of Crohn's and Colitis
Publication statusPublished - 2 Sept 2022


  • IBD, Surgery, Peri-operative care


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